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Indiana rates for HCPCS 43121

Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,168.69 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $19,952.62 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,981.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $3,090.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,388.44 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,623.41 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $4,677.35